HESI PHARMACOLOGY EXIT EXAM COMPLETE QUESTIONS BANK WITH ALL VERSIONS ACTUAL EXAM 520+ QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) ALREADY GRADED A+.pdf

HESI PHARMACOLOGY EXIT EXAM m m m




(NCLEX-
PN QUESTION BANK) | NEWEST ACTUAL
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EXAM COMPREHENSIVE QUESTIONS AN m m m




D VERIFIED ANSWERS GRADED A+ | 100
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% PASS | 2025 UPDATE! m m m m




1.) Cinoxacin (Cinobac), a urinary antiseptic, is prescribed for the client
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. The nurse reviews the client's medical record and should contact the
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mhealth care provider (HCP) regarding which documented finding to ve
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rify the prescription? Refer to chart.
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1. Renal insufficiency m




2. Chest x-ray: normal m m




3. Blood glucose, 102 mg/dL m m m




4. Folic acid (vitamin B6) 0.5 mg, orally daily - ✔✔✔ Correct Answer
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> 1. Renal insufficiency Rational
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e:
Cinoxacin should be administered with caution in clients with renal imp
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airment. The dosage should be reduced, and failure to do so could resu
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lt in accumulation of cinoxacin to toxic levels. Therefore the nurse woul
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d verify the prescription if the client had a documented history of renal
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insufficiency. The laboratory and diagnostic test results are
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,normal findings. Folic acid (vitamin B6) may be prescribed for a client w
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ith renal insufficiency to prevent anemia
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2.) After kidney transplantation, cyclosporine (Sand immune) is
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prescribed for a client. Which laboratory result would indicate a
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n adverse effect from the use of this medication?
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1. Decreased creatinine level m m




2. Decreased hemoglobin level m m




3. Elevated blood urea nitrogen level
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4. Decreased white blood cell count - m m m m m



✔✔✔ Correct Answer > 3. Elevated blood urea nitrogen level
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Rationale:
Nephrotoxicity can occur from the use of cyclosporine (Sandimmune).
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Nephrotoxicity is evaluated by monitoring for elevated blood urea nitr
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ogen (BUN) and serum creatinine levels. Cyclosporine is an immunosup
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pressant but does not depress the bone marrow.
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3.) A client with myasthenia gravis is suspected of having cholinergi
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c crisis. Which of the following indicate that this crisis exists?
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1. Ataxia
2. Mouth sores m




3. Hypotension
4. Hypertension - m




m ✔✔✔ Correct Answer > 4. Hypertension Rationale:
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,Cholinergic crisis occurs as a result of an overdose of medication. Indic
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ations of cholinergic crisis include gastrointestinal disturbances, nausea
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, vomiting, diarrhea, abdominal cramps, increased salivation and tearin
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g, miosis, hypertension, sweating, and increased bronchial secretions.
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4.) A client with myasthenia gravis is receiving pyridostigmine (Mesti
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non). The nurse monitors for signs and symptoms of cholinergic crisis
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caused by overdose of the medication. The nurse checks the medicat
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ion supply to ensure that which medication is available for administr
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ation if a cholinergic crisis occurs?
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1. Vitamin K m




2. Atropine sulfate m




3. Protamine sulfate m




4. Acetylcysteine (Mucomyst) - m m



✔✔✔ Correct Answer > 2. Atropine sulfate
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Rationale:
The antidote for cholinergic crisis is atropine sulfate. Vitamin K is the a
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ntidote for warfarin (Coumadin). Protamine sulfate is the antidote for h
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eparin, and acetylcysteine (Mucomyst) is the antidote for acetaminoph
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en (Tylenol).
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5.) A client with myasthenia gravis becomes increasingly weak. The he
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alth care provider prepares to identify whether the client is reacting to
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man overdose of the medication (cholinergic crisis) or increasing severit
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y of the disease (myasthenic crisis). An injection of edrophonium
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, (Enlon) is administered. Which of the following indicates that the client
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is in cholinergic crisis?
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1. No change in the condition
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2. Complaints of muscle spasms m m m




3. An improvement of the weakness
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4. A temporary worsening of the condition - ✔✔✔ Correct Answer >
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4. A temporary worsening of the condition R
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ationale:
An edrophonium (Enlon) injection, a cholinergic drug, makes the client
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in cholinergic crisis temporarily worse. This is known as a negative test.
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An improvement of weakness would occur if the client were experienci
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ng myasthenia gravis. Options 1 and 2 would not occur in either crisis.
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6.) Carbidopa-
levodopa (Sinemet) is prescribed for a client with Parkinson's disease
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, and the nurse monitors the client for adverse reactions to the medi
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cation. Which of the following indicates that the client is experiencin
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g an adverse reaction?
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1. Pruritus
2. Tachycardia
3. Hypertension
4. Impaired voluntary movements - m m m



✔✔✔ Correct Answer > 4. Impaired voluntary movements
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Rationale: